Understanding Self-Harm in Children and Teens: Signs, Causes, and Support

Self-Harm Among Children and Teens: A Growing Concern

Self-harm among children and teens is a troubling reality that is often hidden from view. According to the National Institute for Health and Care Excellence (NICE), self-harm is an increasing concern for young people worldwide.

In the UK, a survey commissioned by ChildLine, YouthNet, SelfHarmUK, and YoungMinds found that over half of respondents reported having self-harmed or knowing someone who had. In the United States, Mental Health America estimates that roughly 15% of adolescents report some form of self-harm, with rates as high as 35% among college students.

Because self-harm is often kept secret, the true figures may be even higher, meaning many young people suffer without help.

What is Self-Harm?

Self-harm, also called self-injury or self-mutilation, refers to deliberate acts that cause harm to one’s own body. The Mental Health Foundation explains that self-harm can involve a variety of behaviors, most commonly:

  • Skin cutting (70-90%)
  • Head banging or hitting (21-44%)
  • Burning (15-35%)

Self-harm can also include risky behaviors such as dangerous driving, excessive drinking, drug use, or harmful body modifications.

For many, self-harm is a coping mechanism for overwhelming emotions, a way to manage emotional pain, numb feelings, or punish themselves.

Why Do Children and Teens Self-Harm?

Understanding why self-harm happens can help in addressing it effectively. Causes may include:

  • Intense feelings of guilt, anger, or self-loathing
  • Depression or anxiety
  • Trauma or abuse
  • Social pressures, bullying, or relationship difficulties

While self-harm is not always an attempt to end life, it is a serious warning sign. The National Institute of Mental Health notes that those who self-harm are at higher risk for suicide and should be taken seriously.

Signs to Watch For

Many who self-harm go to great lengths to hide it. Signs to watch for, according to NHS Choices, include:

  • Unexplained cuts, burns, bruises, or scars
  • Wearing long sleeves or pants in warm weather
  • Low mood, tearfulness, withdrawal
  • Changes in eating habits or unexplained weight changes
  • Self-loathing statements
  • Alcohol or drug misuse

If these signs appear, early intervention is vital.

Finding Help

Self-harm is a dangerous coping mechanism that requires compassionate intervention. As a parent, it can be difficult to address, but recognizing the signs and seeking help can save lives.

Licensed therapists, such as those contracted with Carolina Counseling Services, Sanford, NC, provide specialized support for children and teens struggling with self-harm. Therapy offers a safe environment to explore underlying causes and develop healthier coping strategies.

If you suspect your child may be self-harming, don’t delay, getting professional help can make all the difference.

We are able to you and your family with Aetna, Aetna State Health plan, Blue Cross Blue Shield of North Carolina, Tricare, and many of the Medicaid policies to include Alliance, Carolina Complete Health, WellCare, Healthy Blue, and United Healthcare insurance.

Call Carolina Counseling Services today to schedule your first appointment.

Ebone L. Rocker, LCMHCS, is one of the Owners and Vice Presidents of Carolina Counseling Services. She is a Licensed Clinical Mental Health Counselor Supervisor in the State of North Carolina.